HENRY MOMANYI
NPI 1679207013
Nurse Practitioner - Family in Maple Grove, MN

Active since July 12, 2022PECOS Enrolled
6773 DEERWOOD LN N, MAPLE GROVE, MN 55369(612) 598-8555 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henry Momanyi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY MOMANYI (NPI 1679207013) is an individual family provider in Maple Grove, Minnesota, licensed in Minnesota (9297) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679207013
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHENRY MOMANYI
Location Address6773 DEERWOOD LN NMaple Grove, MN 55369-5530
Mailing Address6773 Deerwood Ln NMaple Grove, MN 55369-5530 · (612) 598-8555
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 10, 2022
NPI 1679207013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 9297
6773 DEERWOOD LN N, Maple Grove, MN 55369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Henry Momanyi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668963927
PECOS Enrollment IDI20251114000688
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6773 DEERWOOD LN N
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Momanyi's NPI number?

The NPI number for Henry Momanyi is 1679207013. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Henry Momanyi located?

Henry Momanyi practices at 6773 Deerwood Ln N, Maple Grove, MN 55369. The listed phone number is (612) 598-8555.

What is Henry Momanyi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Henry Momanyi enrolled in Medicare?

Yes. Henry Momanyi is registered in the Medicare PECOS enrollment system.

What insurance does Henry Momanyi accept?

Health plans from Medica list Henry Momanyi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henry Momanyi was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.